TRINA E. ESPINOLA, M. D., P. A. SAFE HARBOR 401(K) PLAN
|
2015
|
593694640
|
2016-11-30
|
TRINA E. ESPINOLA, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
7275537100
|
Plan sponsor’s
address |
625 6TH AVE. S., SUITE 385, ST. PETERSBURG, FL, 33701
|
Signature of
Role |
Plan administrator |
Date |
2016-11-30 |
Name of individual signing |
TRINA E ESPINOLA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRINA E. ESPINOLA, M.D., P.A. SAFE HARBOR 401(K) PLAN
|
2015
|
593694640
|
2016-05-25
|
TRINA E. ESPINOLA, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
7275537100
|
Plan sponsor’s
address |
625 6TH AVE.S., SUITE 385, ST. PETERSBURG, FL, 33701
|
Signature of
Role |
Plan administrator |
Date |
2016-05-25 |
Name of individual signing |
TRINA E ESPINOLA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRINA E. ESPINOLA, M.D., P.A. SAFE HARBOR 401(K) PLAN
|
2014
|
593694640
|
2015-07-15
|
TRINA E. ESPINOLA, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
7275537100
|
Plan sponsor’s
address |
625 6TH AVE.S., SUITE 385, ST. PETERSBURG, FL, 33701
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
TRINA E ESPINOLA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-15 |
Name of individual signing |
TRINA E ESPINOLA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRINA E. ESPINOLA, M.D., P.A. SAFE HARBOR 401(K) PLAN
|
2013
|
593694640
|
2014-06-23
|
TRINA E. ESPINOLA, M.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
7275537100
|
Plan sponsor’s
address |
625 6TH AVE.S., SUITE 385, ST. PETERSBURG, FL, 33701
|
Signature of
Role |
Plan administrator |
Date |
2014-06-23 |
Name of individual signing |
TRINA E. ESPINOLA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-28 |
Name of individual signing |
TRINA E. ESPINOLA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRINA E. ESPINOLA, M.D., P.A. SAFE HARBOR 401(K) PLAN
|
2012
|
593694640
|
2013-07-15
|
TRINA E. ESPINOLA, M.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
7275537100
|
Plan sponsor’s
address |
625 6TH AVE.S., SUITE 385, ST. PETERSBURG, FL, 33701
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
TRINA E ESPINOLA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRINA E. ESPINOLA, M.D., P.A. SAFE HARBOR 401(K) PLAN
|
2011
|
593694640
|
2012-10-09
|
TRINA E. ESPINOLA, M.D., P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
7275537100
|
Plan sponsor’s
address |
625 6TH AVE.S., SUITE 385, ST. PETERSBURG, FL, 33701
|
Plan administrator’s name and address
Administrator’s EIN |
593694640 |
Plan administrator’s name |
TRINA E. ESPINOLA, M.D., P.A. |
Plan administrator’s
address |
625 6TH AVE.S., SUITE 385, ST. PETERSBURG, FL, 33701 |
Administrator’s telephone number |
7275537100 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
TRINA E ESPINOLA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-09 |
Name of individual signing |
TRINA E. ESPINOLA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRINA E. ESPINOLA, M.D., P.A. SAFE HARBOR 401(K) PLAN
|
2010
|
593694640
|
2011-10-06
|
TRINA E. ESPINOLA, M.D., P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
7275537100
|
Plan sponsor’s
address |
625 6TH AVE.S., SUITE 385, ST. PETERSBURG, FL, 33701
|
Plan administrator’s name and address
Administrator’s EIN |
593694640 |
Plan administrator’s name |
TRINA E. ESPINOLA, M.D., P.A. |
Plan administrator’s
address |
625 6TH AVE.S., SUITE 385, ST. PETERSBURG, FL, 33701 |
Administrator’s telephone number |
7275537100 |
Signature of
Role |
Plan administrator |
Date |
2011-10-06 |
Name of individual signing |
TRINA E ESPINOLA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRINA E. ESPINOLA, M.D., P.A. SAFE HARBOR 401(K) PLAN
|
2009
|
593694640
|
2010-07-21
|
TRINA E. ESPINOLA, M.D., P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
7275537100
|
Plan sponsor’s
address |
625 6TH AVE.S., SUITE 385, ST. PETERSBURG, FL, 33701
|
Plan administrator’s name and address
Administrator’s EIN |
593694640 |
Plan administrator’s name |
TRINA E. ESPINOLA, M.D., P.A. |
Plan administrator’s
address |
625 6TH AVE.S., SUITE 385, ST. PETERSBURG, FL, 33701 |
Administrator’s telephone number |
7275537100 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
TRINA E ESPINOLA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
TRINA E. ESPINOLA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|